Dr. Bennedick Mara, DMD
Dentist, General Practice in McKinney, TX. Individual provider (NPI-1).
NPI number1356902829
StatusActive
Last updated in NPPESNov 30, 2023
Details
- NPI
- 1356902829
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bennedick Mara
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2019
- Certification date
- Nov 30, 2023
- Last updated
- Nov 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 35161 | TX | Yes |
Practice location
5345 W University Dr # 200McKinney, TX 75071-7824
Phone 214-556-5664
Mailing address
10505 Bolivar DrMcKinney, TX 75072-2990
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